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논문 기본 정보

자료유형
학술저널
저자정보
Kang, Min Jo (Department of Plastic and Reconstructive Surgery, Hallym University College of Medicine) Chung, Chul Hoon (Department of Plastic and Reconstructive Surgery, Hallym University College of Medicine) Chang, Yong Joon (Department of Plastic and Reconstructive Surgery, Hallym University College of Medicine) Kim, Kyul Hee (Department of Plastic and Reconstructive Surgery, Hallym University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제5호
발행연도
2013.1
수록면
575 - 583 (9page)

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Background The aim of lower-extremity reconstruction has focused on wound coverage and functional recovery. However, there are limitations in the use of a local flap in cases of extensive defects of the lower-extremities. Therefore, free flap is a useful option in lower-extremity reconstruction. Methods We performed a retrospective review of 49 patients (52 cases) who underwent lower-extremity reconstruction at our institution during a 10-year period. In these patients, we evaluated causes and sites of defects, types of flaps, recipient vessels, types of anastomosis, survival rate, and complications. Results There were 42 men and 10 women with a mean age of 32.7 years (range, 3-72 years). The sites of defects included the dorsum of the foot (19), pretibial area (17), ankle (7), heel (5) and other sites (4). The types of free flap included latissimus dorsi muscle flap (10), scapular fascial flap (6), anterolateral thigh flap (6), and other flaps (30). There were four cases of vascular complications, out of which two flaps survived after intervention. The overall survival of the flaps was 96.2% (50/52). There were 19 cases of other complications at recipient sites such as partial graft loss (8), partial flap necrosis (6) and infection (5). However, these complications were not notable and were resolved with skin grafts. Conclusions The free flap is an effective method of lower-extremity reconstruction. Good outcomes can be achieved with complete debridement and the selection of appropriate recipient vessels and flaps according to the recipient site.
#Free tissue flap #Lower extremity #Microsurgery

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참고문헌 (17)

참고문헌 신청
Gottlieb LJ / 1994 / From the reconstructive ladder to the reconstructive elevator / Plast Reconstr Surg 93:1503~1504 google schola Pollak AN / 2000 / Short-term wound complications after application of flaps for coverage of traumatic soft-tissue defects about the tibia. The Lower Extremity Assessment Project (LEAP) Study Group / J Bone Joint Surg Am 82:1681~1691 google schola Melissinos EG / 1989 / Post-trauma reconstruction with free tissue transfer: analysis of 442 consecutive cases / J Trauma 29:1095~1102 google schola Percival NJ / 1989 / Free flap surgery: the Welsh Regional Unit experience / Br J Plast Surg 42:435~440 google schola Calderon W / 1986 / Comparison of the effect of bacterial inoculation in musculocutaneous and fasciocutaneous flaps / Plast Reconstr Surg :785~794 google schola

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